Shawn Alexander Burns, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002741 Issued in CT

Practice address

775 Main St
Stratford, CT 06615-7406

Phone

(203) 377-2020

NPI assigned

Apr 7, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Connecticut Professional PLLCGroup PAC ID 1658713797, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aeg Connecticut Professional PLLC

  • Optometrist
  • Alton, IL
  • NPI 1023883675

  CT

  Medicare reassignment Care Compare group NPD
• Family Vision Center LLC

  • Optometrist
  • Stratford, CT
  • NPI 1548256647
  Medicare reassignment
• Philip M Perrino P.C.

  • Optometrist
  • New Haven, CT
  • NPI 1982734653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1912170408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157406",
            "telephone_number": "203-377-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157406",
            "telephone_number": "203-377-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "SHAWN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008004194",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haily Sarah Budd, LCSW
• Guylene Buissereth
• Bureau Family Dental
• Beverly Rachelle Burke
• Amy P. Burns, OTR/L
• Laura N Burr, APRN
• James Butler, MD
• Sarah M. Butz, PT
• Courtney Cacchione, LPC-A
• Deborah Downes Cahill

• Optometrist in Stratford, CT
• Providers in Stratford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.